Brian Ouellette

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2291850 Issued in MA

Practice address

21 Kenwood St
Greenfield, MA 01301-1973

Phone

(413) 223-5072

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Network, Inc

  • Methadone Clinic
  • Springfield, MA
  • NPI 1669017653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1780405217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KENWOOD ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KENWOOD ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011973",
            "telephone_number": "413-223-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2291850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna L Osman
• James Ostendarp, LMHC
• Alexandra H. Osterman, MSW, LICSW
• Robert Osterman
• Carol Ostiguy-Finneran, LMHC
• Jennifer E Paasch, P.T.
• Hannah Margaret Pachalis, RDH
• Katelyn Pachalis, RN, MSN
• Rajiv Padmanabhan, MD
• Tameka Page

• Registered Nurse in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.